How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $891.25 Median $2,290.87 Typical High $7,585.78 | Facility | None | $891.25 | $2,290.87 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $70.79 Typical High $104.71 | Professional | None | $51.29 | $70.79 | $104.71 |
BCBS Tennessee Setting Facility Modifier None Typical Low $524.81 Median $1,122.02 Typical High $2,570.40 | Facility | None | $524.81 | $1,122.02 | $2,570.40 |
BCBS Tennessee Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $134.90 | Professional | None | $56.23 | $81.28 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $107.15 Typical High $1,659.59 | Facility | None | $54.95 | $107.15 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $69.18 Typical High $112.20 | Professional | None | $54.95 | $69.18 | $112.20 |
Lucent Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $660.69 | Professional | None | $537.03 | $537.03 | $660.69 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $3,630.78 | Facility | None | $512.86 | $1,445.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $134.90 | Professional | None | $54.95 | $75.86 | $134.90 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $34.67 Typical High $52.48 | Professional | 52 · Reduced service | $25.70 | $34.67 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $13.80 Typical High $20.89 | Professional | 53 · Discontinued | $10.23 | $13.80 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $52.48 Typical High $79.43 | Professional | 54 · Surgery only | $38.90 | $52.48 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $10.47 Typical High $15.85 | Professional | 55 · Aftercare only | $7.76 | $10.47 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $6.92 Typical High $10.47 | Professional | 56 · Pre-op care only | $5.13 | $6.92 | $10.47 |
Where Tennessee sits
The same service costs 4.3 times more in Alaska than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Tennessee· 32nd of 51
$81.28
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.